育龄期乳腺癌患者复发恐惧现状及影响因素  

Current status and influencing factors of fear of recurrence in breast cancer patients of childbearing age

作　　者：傅静静 张芳[2] 崔玉珍[3] 张敏[2] 逯鹏 张宇 FU Jingjing;ZHANG Fang;CUI Yuzhen;ZHANG Min;LU Peng;ZHANG Yu(School of Nursing,Binzhou Medical University,Yantai 264003,Shandong,P.R.China;Department of Nursing,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China;Department of Thyroid Surgery,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China;School of Life Sciences,Ludong University,Yantai 264025,Shandong,P.R.China;Department of Gastrointestinal Surgery,Yantai Affiliated Hospital fo Binzhou Medical University,Yantai 264100,Shandong,P.R.China)

机构地区：[1]滨州医学院护理学院,山东烟台264003 [2]滨州医学院附属医院护理部,山东滨州256603 [3]滨州医学院附属医院甲状腺外科,山东滨州256603 [4]鲁东大学生命科学学院,山东烟台264025 [5]滨州医学院烟台附属医院胃肠外科,山东烟台264100

出　　处：《滨州医学院学报》2025年第1期90-95,共6页Journal of Binzhou Medical University

基　　金：滨州市科技计划(BY2020KJ27)。

摘　　要：目的探究育龄期乳腺癌患者复发恐惧的现状,并分析其影响因素。方法选取450例育龄期乳腺癌患者,应用一般资料调查表、癌症复发恐惧简版量表、认知情绪调节量表、疾病不确定感量表、社会支持评定量表、Piper疲乏修订量表对研究对象进行问卷调查。结果育龄期乳腺癌患者FCRI-SF得分为(21.74±6.98)分,88%的育龄期乳腺癌患者具有较高的复发恐惧感。年龄、文化程度、月收入水平、治疗方式、子女情况、确诊时间、社会支持水平和社会情绪调节水平是育龄期乳腺癌患者癌症复发恐惧的独立影响因素(P<0.05)。结论复发恐惧在育龄期乳腺癌患者中普遍存在,护理人员应高度重视,对高危人群及时采取干预策略降低患者复发恐惧,以期为育龄期乳腺癌患者提供更全面的心理支持和护理服务。Objective To explore the current status of recurrence of fear among breast cancer patients of childbearing age and analyze its influencing factors.Methods A total of 450 patients of childbearing age with breast cancer were selected.A questionnaire survey was conducted on the research subjects with the risk factors for recurrence of breast cancer patients in childbearing age,the fear of cancer recurrence inventory-short form(FCRI-SF),the cognitive emotion regulation questionnaire(CERQ),the Mishel uncertainty in illness scale(MUIS),the social support rating scale(SSRS),and the Piper fatigue scale-revised(PFS-R).Results The average FCRI-SF score among breast cancer patients of reproductive age was(21.74±6.98).Notably,88%of these patients exhibited a high level of fear of recurrence.Factors such as age,education level,monthly income,treatment type,parental status,diagnosis time,level of social support,and cognitive emotion regulation were found to be independent predictors of fear of recurrence in this population(P<0.05).Conclusion Fear of recurrence is prevalent among breast cancer patients of childbearing age.Medical staff ought to be attentive to this and adopt timely intervention strategies to alleviate the fear of recurrence in high-risk groups,thereby offering more comprehensive psychological support and nursing services for breast cancer patients of childbearing age.

关 键 词：育龄期 乳腺癌 癌症复发恐惧 影响因素 

分 类 号：R473.73[医药卫生—护理学]